Active NPI
Michelle Suzanne Greene, PT
- Physical Therapist
- Bartlesville, OK
National Provider Identifier
1114149978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2790
- Practice address
- 4100 SE Adams Rd
Suite a-100
Bartlesville, OK 74006-8437 - Phone
- (641) 754-6120
- Fax
- (918) 331-9971
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03294 | IA | |
| Physical Therapist | 225100000X | 2790 | OK | Primary |
Addresses
Primary practice location
4100 SE Adams Rd
Suite a-100
Bartlesville, OK 74006-8437
Mailing address
4100 SE Adams Rd
Suite a-100
Bartlesville, OK 74006-8437
Phone (918) 331-9922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 SE Adams Rd
Suite A100
Bartlesville, OK 74006-8409
Phone (918) 331-9922
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 73.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03294 | IA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bartlesville, OK
- NPI 1902844582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1114149978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 SE ADAMS RD",
"address_2": "SUITE A-100",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068437",
"telephone_number": "918-331-9922",
"fax_number": "918-331-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SE ADAMS RD",
"address_2": "SUITE A-100",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068437",
"telephone_number": "641-754-6120",
"fax_number": "918-331-9971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MICHELLE",
"middle_name": "SUZANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03294",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.